Ectopic Pregnancy


Knowing the symptoms of ectopic pregnancy can save a life! If you experience a severe lower abdominal pain along with a missed period, dizziness, or fainting, you should go to a hospital immediately. You may be having an ectopic pregnancy. If this condition is not treated quickly, it can become life-threatening. How does an ectopic […]

Knowing the symptoms of ectopic pregnancy can save a life!

If you experience a severe lower abdominal pain along with a missed period, dizziness, or fainting, you should go to a hospital immediately.

You may be having an ectopic pregnancy.

If this condition is not treated quickly, it can become life-threatening.

How does an ectopic pregnancy occur?

Sperm enters the female reproductive system and fertilization (the union of sperm and egg) usually takes place in the fallopian tube.

In a normal pregnancy, the fertilized egg travels from the fallopian tube to the uterus and implants in the uterine lining.

However, if there is a problem with the fallopian tube, the fertilized egg may implant and develop inside the tube itself instead of reaching the uterus. This is called an ectopic pregnancy.

Causes include:

  • Pelvic infections such as chlamydia or gonorrhea affecting the fallopian tubes
  • Previous surgery involving the fallopian tubes or reproductive organs

About 98% of ectopic pregnancies occur in the fallopian tubes. However, they can also occur in the ovary, cervix, or abdominal cavity.

Other risk factors:

  • A previous ectopic pregnancy
  • Pregnancy achieved through IVF (in vitro fertilization)
  • Endometriosis (growth of uterine tissue outside the uterus)

Symptoms of ectopic pregnancy

Symptoms usually begin around 6 weeks after conception, which is about 2 weeks after a missed period in women with regular cycles.

Because of this, many women may think they are just experiencing a delayed period. A pregnancy test may still show a positive result.

Symptoms may include:

  1. One-sided or severe lower abdominal pain, sometimes with vaginal bleeding
    • The bleeding may be darker or heavier than a normal period
    • It is often mistaken for a delayed period
  2. Shoulder pain
  3. If the fallopian tube ruptures, severe abdominal pain occurs along with internal bleeding, which may lead to dizziness or fainting. This is a medical emergency.

If this happens, immediate hospital care is essential, as it can be life-threatening.

At the hospital, emergency surgery may be performed to stop bleeding and remove the ruptured tube and pregnancy tissue.

Can a woman get pregnant again after an ectopic pregnancy?

Yes. If the other fallopian tube is healthy and functioning normally, a normal pregnancy is still possible.

However, if you have had a previous ectopic pregnancy or other risk factors, you should visit a maternal clinic and undergo a scan within 8 weeks after a missed period to confirm that the pregnancy is in the uterus.

If you need guidance, seeking medical advice is very important.

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